Fredericka Alona Wilson, DPM, MPH

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

07001094A Issued in IN

Practice address

4010 W 86TH St Ste a
Indianapolis, IN 46268-1779

Phone

(317) 872-3338

Fax

(317) 872-3339

NPI assigned

Aug 3, 2009

Last updated

Oct 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1689805061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 ROCKVILLE RD # 192",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143113",
            "telephone_number": "317-872-3338",
            "fax_number": "317-872-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W 86TH ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681779",
            "telephone_number": "317-872-3338",
            "fax_number": "317-872-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "FREDERICKA",
        "middle_name": "ALONA",
        "name_prefix": "Dr.",
        "credential": "DPM, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07001094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Wilson
• Erika G. Wilson, CAA
• Erika Michelle Wilson, P.A.
• Evren Nyx Wilson, LSW
• Franklin Duane Wilson, M.D.
• Graham Wilson, PT
• Gregory A Wilson, MD
• Hailey Wilson, MSW, LSW
• Hannah Elizabeth Wilson
• Ina L Wilson, NP

• Foot Surgery Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Foot Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.